| West Valley Medical Center Inc | |
|
1717 Arlington Ave Caldwell ID 83605 | |
| (208) 455-4641 | |
| Not Available |
| Full Name | West Valley Medical Center Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1717 Arlington Ave, Caldwell, Idaho |
| Authorized Official Name and Position | Kathy Moore (CEO) |
| Authorized Official Contact | 2084553718 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Valley Medical Center Inc 1717 Arlington Ave Caldwell ID 83605-4802 Ph: () - | West Valley Medical Center Inc 1717 Arlington Ave Caldwell ID 83605 Ph: (208) 455-4641 |
| NPI Number | 1881637122 |
|---|---|
| Provider Enumeration Date | 06/14/2006 |
| Last Update Date | 06/20/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881637122 | NPI | - | NPPES |
| 805094000 | Medicaid | ID | |
| 804302300 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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